ATI RN Adult Med-Surg 2023 | Nurselytic

Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?

Correct Answer: C

Rationale: Decreased blood pressure indicates dehydration due to fluid loss.

Question 2 of 5

A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?

Correct Answer: D

Rationale: Neurovascular assessment is critical post-ORIF to detect complications like compartment syndrome.

Question 3 of 5

A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?

Correct Answer: A

Rationale: Decreasing protein intake reduces kidney workload in nephrotic syndrome.

Extract:

History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider prescriptions
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 4 of 5

The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Improvement in pain, vital signs, and oxygenation suggests stabilization of a cardiac event.

Extract:

History and Physical
Nurses' Notes
Vital Signs
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Prepared by Purity

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 5 of 5

For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential Prescription Anticipated Nonessential Contraindicated
Metoprolol 15 mg IV bolus
Oxygen at 2 L/min via nasal cannula
Draw electrolytes along with Hgb and Hct
Morphine 6 mg IV bolus every 3 hr as needed for pain
Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses
Obtain daily weight
Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60

Correct Answer: A, D, E likely anticipated for chest pain management.

Rationale:

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